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Organization

NEW EDEN WELLNESS CENTER LLC

Active
Other names
New Eden Wellness LLC
Organization subpart
No

Provider details

NPI number
Authorized official
GARDINE JACQUES DNP,ANP-BC,PMHNP-BC, (NURSE PRACTITIONER)
(305) 519-7951
Entity
Organization

Contact information

Practice address
3011 MARSHFIELD PRESERVE WAY, KISSIMMEE, FL 34746-2105
(305) 519-7951
Mailing address
7385 NW 68TH WAY, PARKLAND, FL 33067-3918
(305) 519-7951

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
363LA2200X
Adult Health Nurse Practitioner

Other

Enumeration date
07/29/2022
Last updated
04/16/2024
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